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Hysteroscopy is more accurate than ultrasound for diagnosing endometrial polyps and hyperplastic processes, offering better clinical and economic benefits. This aids in identifying risk factors and planning individualized treatment for uterine conditions.

Keywords:
hyperplastic processes of endometrium-hyperproliferative pathology-hysteroscopic examinations-

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Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Pathology

Background:

  • Endometrial hyperplastic processes, including uterine polyps, are common gynecological conditions.
  • Accurate diagnosis is crucial for effective management and understanding etiopathogenetic mechanisms.
  • Comparative analysis of diagnostic modalities is essential for optimizing patient care.

Purpose of the Study:

  • To compare the diagnostic accuracy of ultrasound and hysteroscopy for endometrial hyperplastic processes.
  • To correlate diagnostic findings with histopathological results and clinical features.
  • To identify etiopathogenetic factors and risk groups for endometrial pathological processes.

Main Methods:

  • Retrospective study of 119 patients with benign endometrial hyperplasia and uterine polyps.
  • Comparison of ultrasound and hysteroscopy findings with histopathological data.
  • Inclusion of a control group of 30 patients with menstrual disorders and no endometrial hyperplasia.

Main Results:

  • Hysteroscopy demonstrated higher information content (98.21%) compared to ultrasound (88.39%) in diagnosing endometrial hyperplastic changes (p<0.001).
  • Hysteroscopy had fewer false positive results for endometrial polyps (2.99%) than ultrasound (7.46%).
  • Women with endometrial hyperplastic processes showed increased risk for nervous system (OR=2.71) and cardiovascular pathology (OR=2.04).

Conclusions:

  • Hysteroscopy is a more informative diagnostic tool than ultrasound for endometrial hyperproliferative processes, including uterine polyps.
  • Clinical and anamnestic data are valuable for identifying etiopathogenetic factors and risk groups.
  • Hysteroscopic polypectomy offers significant clinical, economic, and diagnostic benefits.